摘要
目的通过报道1例轻型新型冠状病毒肺炎(COVID-19)治愈后再次“复阳”情况,分析患者的诊断和管控重点及难点。方法回顾分析2020年1月接诊的1例轻型新型冠状病毒肺炎诊治经过、复阳的可能因素及期间隔离管理的过程。结果患者以仅有干咳症状,无明确接触史;两次咽拭子核酸检测阴性后再次“复阳”,患者再次感染的可能性较小,可能出现排毒时间长具有传播病毒风险;可能与核酸试剂检测的局限性、采样方法等有关。结论准确识别并管控好轻型及“复阳”患者,采取严格的隔离措施,对降低其传播风险具有极为重要的意义。
OBJECTIVE To analyze the key points and difficulties of diagnosis and management of the patients by reporting the case of positive nucleic re-examination in patient after treatment of a light novel coronavirus pneumonia.METHODS A case of light novel coronavirus pneumonia diagnosed and treated in January 2020,the possible factors of rejuvenation and the process of isolation management during the period were retrospectively analyzed.RESULTS The patient had only dry cough symptoms and no history of clear contact.After two times of pharynx swabs tested negative for nucleic acid,the patient was tested positive again,who was less likely re-infected and may have long detoxification time with the risk of spreading the virus.It maybe related to the limitations of nucleic acid reagent testing and sampling method.CONCLUSION It is of great significance to accurately identify and control light and"Fuyang"patients and take strictly quarantine measures to reduce risk of transmission.
作者
杨金燕
陈元宾
夏婷婷
施施
于帅
杨育卉
雷谢芬
龚琦
索继江
YANG Jin-yan;CHEN Yuan-bin;XIA Ting-ting;SHI Shi;YU Shuai;YANG Yu-hui;LEI Xie-fen;GONG Qi;SUO Ji-jiang(Hainan Hospital,Chinese PLA General Hospital,Sanya,Hainan572014,China;不详)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2020年第19期2913-2917,共5页
Chinese Journal of Nosocomiology
基金
三亚市专项科研试剂基金资助项目(2018KS09)解放军总医院临床科研扶持基金资助项目(2018FC-WJFWZX-1-16)。
关键词
新型冠状病毒肺炎
新型冠状病毒
核酸检测
复阳
影响因素
Coronavirus disease-2019
Severe acute respiratory syndrome coronavirus 2
Nucleic acid detection
Fuyang
Influerning factor
作者简介
杨金燕(1988-),女,学士,技师,研究方向:医院感染监测与传染病防控;通讯作者:索继江,E-mail:sjj301@qq.com。
